| Evelyn Susanne Bengston, APRN | |
| 18743 Nw 234th St, High Springs, FL 32643-0465 | |
| (386) 454-0721 | |
| (386) 454-0722 | 
| Full Name | Evelyn Susanne Bengston | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 18743 Nw 234th St, High Springs, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881685758 | NPI | - | NPPES | 
| 302076200 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP2209102 (Florida) | Primary | 
| Entity Name | Solantic/south Florida Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 | 
| Entity Name | Solantic Of Jacksonville Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 | 
| Entity Name | Hma-solantic Joint Venture Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 | 
| Entity Name | Shands-solantic Joint Venture Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 | 
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 | 
| Entity Name | Stankus Family Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215535794 PECOS PAC ID: 3971914755 Enrollment ID: O20201130002221 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Evelyn Susanne Bengston, APRN 18743 Nw 234th St, High Springs, FL 32643-0465 Ph: (386) 454-0721 | Evelyn Susanne Bengston, APRN 18743 Nw 234th St, High Springs, FL 32643-0465 Ph: (386) 454-0721 | 
| Ms. Ann Elizabeth Lane, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 Sw Heartsong Ct, High Springs, FL 32643 Phone: 386-454-7763 Fax: 386-454-7404 | |
| Lara Shankar, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19228 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-1156 Fax: 360-462-5914 | |
| Mrs. Cami Millicent Cowart, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18743 Nw 234th St, High Springs, FL 32643 Phone: 386-454-0721 Fax: 386-454-0722 | |
| Angeli E Harris, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16916 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-0568 Fax: 352-224-7899 | |
| Dessie D Meltzer, ARNP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23476 W Us Highway 27, High Springs, FL 32643 Phone: 386-454-0568 | |
| Jo-anne Gammon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25406 Nw 168th Pl, High Springs, FL 32643 Phone: 352-231-1380 | |
| Andrea Colette Johnson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19204 Nw Us Highway 441, High Springs, FL 32643 Phone: 386-454-7746 Fax: 386-454-3034 |